ECMO患者心肌顿抑的诊治

Cardiac stun in extracorporeal membrane oxygenation

体外膜肺氧合（extracorporeal membrane oxygenation，ECMO）是一种心肺支持技术，以血泵产生负压，从静脉引血，血液经膜式氧合器氧合后，重新灌入体内，用于较长时间的持续心肺替代支持，临床上主要用于呼吸功能衰竭和（或）心脏功能衰竭经传统治疗无效的患者。近些年，国内ECMO技术在临床应用逐渐增多，而有效防治ECMO并发症是决定该技术是否成功的重要因素。本文主要针对ECMO运转中的心肌顿抑的诊治进行讨论。

Extracorporeal membrane oxygenation （ECMO） is a technology of cardiopulmonary life- support, where blood is drained from the venous vascular to an oxygenator, circulated outside the body by a mechanical pump, and then reinfused into the circulation. Recently, the application of ECMO in China is in- creasing gradually. Effective prevention and treatment of complications of ECMO is an important factor for the success of this technology. The aim of this paper is to discuss cardiac stun during ECMO support.